Palmer Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMER SMILES

Practice address

2025 Main St
Three Rivers, MA 01080-1114

Phone

(413) 283-6182

NPI assigned

Apr 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Divya Mudumba, DMDNPI 1518579499

Title

President

Phone

(917) 535-2935

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divya Mudumba

  • Dentist
  • Pittsfield, MA
  • NPI 1518579499
  NPD Authorized official
• William Joseph Vigneux, DMD

  • General Practice Dentistry
  • Three Rivers, MA
  • NPI 1821205915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1750136586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MAIN ST",
            "city": "THREE RIVERS",
            "state": "MA",
            "postal_code": "010801114",
            "telephone_number": "413-283-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MAIN ST",
            "city": "THREE RIVERS",
            "state": "MA",
            "postal_code": "010801114",
            "telephone_number": "413-283-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "MUDUMBA",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-535-2935",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical and Support Options
• Louise Marie Davis
• Morria Heilman
• Stephen R Holuk, M.D.
• Patricia L Mead-Wheelock
• Robert V Rapisarda, DMD
• Kathleen Mary Rapoza
• Stephen R. Holuk MD Inc
• Sunshine Village, Inc,
• William Joseph Vigneux, DMD

• General Practice Dentistry in Three Rivers, MA
• Providers in Three Rivers, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.